Healthcare Provider Details

I. General information

NPI: 1861444218
Provider Name (Legal Business Name): VICTORIA ANNE ARLAUSKAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8311 WARREN H ABERNATHY HWY
SPARTANBURG SC
29301-1249
US

IV. Provider business mailing address

PO BOX 743070
ATLANTA GA
30374-3070
US

V. Phone/Fax

Practice location:
  • Phone: 864-560-9435
  • Fax:
Mailing address:
  • Phone: 864-560-4123
  • Fax: 864-587-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22372
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: